Crystal Ann Lake, LMT

NPI #1508344383 in Sumner, Washington

Provider Information

NPI Number
1508344383
Entity Type
Individual
Name
Crystal Ann Lake, LMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Aug 2, 2018
Last Updated
Aug 2, 2018

Practice Location

Address
5814 GRAHAM AVE STE 101
City
Sumner
ZIP Code
98390-2728
Phone
(253) 891-7093

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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